Nursing Elites

1. The healthcare professional enters the room as a 3-year-old is having a generalized seizure. Which intervention should the healthcare professional do first?

• A. Clear the area of any hazards
• B. Place the child on the side
• C. Restrain the child
• D. Give the prescribed anticonvulsant

Correct answer: B

Rationale: Placing the child on the side is the priority intervention during a generalized seizure as it helps maintain an open airway and prevents aspiration. Clearing the area of any hazards is important but should come after ensuring the child's safety. Restraining the child is not recommended during a seizure as it can lead to injury. Giving the prescribed anticonvulsant is important but should not be the first action during an ongoing seizure.

2. A nurse is planning a nutrition class for a group of senior citizens at a community center and wants to emphasize the amount and types of fat in some foods versus others. What is the best teaching method for the nurse to use?

• A. Display posters with foods and inform seniors about fat content.
• B. Determine the foods most often eaten by this group and discuss the nutritional panel of each product.
• C. Show a movie about cooking with foods that are low in fat but delicious.
• D. Ask each senior to bring a food for others to taste, then estimate the fat content in these foods.

Correct answer: B

Rationale: The best teaching method for the nurse in this scenario is to determine the foods most often eaten by the group and discuss the nutritional panel of each product. This approach directly educates the seniors about the fat content in the foods they commonly consume, making the information more relevant and applicable to their daily lives. Choice A, displaying posters with foods, may not engage the seniors effectively or provide detailed information about fat content. Choice C, showing a movie about cooking with low-fat foods, may not address the specific fat content of the seniors' usual food choices. Choice D, asking seniors to bring foods for tasting and estimating fat content, could be subjective and less educational compared to discussing concrete nutritional information from food labels.

3. The healthcare professional is planning a community health fair. Which of the following topics should be given the highest priority?

• A. blood pressure screening
• B. diabetes education
• C. smoking cessation
• D. nutrition and weight management

Correct answer: A

Rationale: In planning a community health fair, the highest priority should be given to blood pressure screening. This is because hypertension is a common and serious health issue that often goes undetected. Identifying individuals with high blood pressure early can lead to timely interventions and management, potentially preventing severe complications such as heart disease or stroke. While topics like diabetes education, smoking cessation, and nutrition are important, addressing blood pressure screening first aligns with the goal of early detection and prevention of a prevalent health concern.

4. The appropriate order of steps in active management of the third stage of labor includes:

• A. Cord clamping and cutting, controlled cord traction, ergometrine administration, and inspection to ensure the placenta is intact.
• B. Intravenous oxytocin, cord clamping and cutting, and fundal massage.
• C. Intramuscular injection of oxytocin, controlled cord traction with counter traction to the uterus, and uterine massage.
• D. Controlled cord traction, fundal massage, and oxytocin.

Correct answer: C

Rationale: The correct sequence of steps in active management of the third stage of labor includes intramuscular injection of oxytocin to prevent postpartum hemorrhage, controlled cord traction with counter traction to the uterus to facilitate placental delivery, and uterine massage to aid in uterine contraction and prevent excessive bleeding. Choice A is incorrect because ergometrine administration is not routinely recommended in active management. Choice B is incorrect as intravenous oxytocin is not the preferred route of administration. Choice D is incorrect as the order of steps is not accurate.

5. The RN at a migrant health center notes an increased incidence of dermatitis in seasonal farm workers at a local fruit farm. In response to this finding, what is the most important information for the RN to obtain as part of the community assessment?

• A. Availability of clean fresh water to wash hands after work.
• B. Proper housing
• C. Access to health care services
• D. Access to transportation

Correct answer: A

Rationale: The correct answer is A: Availability of clean fresh water to wash hands after work. Proper hand hygiene, including washing hands with clean water, is crucial in preventing dermatitis, especially in farm workers who are exposed to potential irritants in their work environment. While proper housing (choice B), access to health care services (choice C), and access to transportation (choice D) are important factors in overall community health, they are not directly linked to preventing dermatitis in this scenario.

Similar Questions